Bakir T Abushhiwa
Individual provider Active NPI Marriage & Family Therapist · Beaver Dam, WI
NPI 1932610201 · NPPES record last updated Jan 11, 2021
Key facts
- NPI
- 1932610201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 612-228 (WI)
- Practice address
- 111 Warren St Ste 2
Beaver Dam, WI 53916-3084 - Phone
- (920) 216-4440
- NPI assigned
- Oct 13, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 612-228 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alarus Healthcare, LLC | Past | Accepting new patients |
Interoperability endpoints
- babushhiwa1129113@direct.uwhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 612-228 | WI | Yes |
Addresses
Primary practice location
111 Warren St Ste 2
Beaver Dam, WI 53916-3084
Mailing address
111 Warren St Ste 2
Beaver Dam, WI 53916-3084
Phone (920) 219-4440
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | babushhiwa1129113@direct.uwhealth.org |
Other providers in Beaver Dam, WI
- Mesfin Taye Abera
- Abundance Acupuncture Inc.
- Bret Achterberg
- Advance Physical Therapy & Sports Rehab, LLC
- Advance Physical Therapy and Sports Rehab, LLC
- Advanced Pain Management SC
- Affiliated Counseling Center, Inc
All providers in Beaver Dam, WI · Marriage & Family Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.